Provider Demographics
NPI:1487901906
Name:SHEELER, JAREE ELAINE (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:JAREE
Middle Name:ELAINE
Last Name:SHEELER
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 IRENE STREET
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-6411
Mailing Address - Country:US
Mailing Address - Phone:817-253-2458
Mailing Address - Fax:
Practice Address - Street 1:1025 IRENE STREET
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-6411
Practice Address - Country:US
Practice Address - Phone:817-253-2458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65025101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional